What is a nurse-led service? A discussion paper

Abstract

The terms ‘nurse-led service’ and ‘nurse-led care’ are often used, but are frequently not well defined. As health care delivery evolves across the world and struggles to cope with changes in medical care and with the rising number of people living longer with long term conditions, it is frequently suggested that more care should be delivered and coordinated by nurses who have the most day-to-day contact with affected individuals and their families. This paper addresses the notion of modern ‘nurse-led’ care in the 21st century, with a focus on haemophilia. Haemophilia is one specialty in which totally nurse-led and delivered care could become a reality, there is already evidence from both developing and developed countries of nurses providing excellent and innovative haemophilia care.

Effect of nurse‐led care on quality of care and level of HbA1C in patients with diabetic foot ulcer: A randomized clinical trial

“…Participants in the control group received routine care and education during admission, but nurses in control group were more concerned with scientific and skill aspects than art of nursing. This is the same separation between theory and practice that is heavily seen in our nursing profession . If we accept that effective nursing (by nurse specialists in diabetes) is equivalent to better care and a better understanding of care, we can claim that QOC is guaranteed .…”

“…If we accept that effective nursing (by nurse specialists in diabetes) is equivalent to better care and a better understanding of care, we can claim that QOC is guaranteed . Moreover, since the QOC provided is a determining factor in the patient's recovery, it is possible to improve the health of the patient too.…”

“…Most studies have been conducted on the effectiveness of nurse‐led care in the Western and European countries . The results of these studies (contradictory or shown to be effective) indicate the effectiveness of this method.…”

The UK haemophilia specialist nurse: Competencies fit for practice in the 21st century

“…Although nurse-led clinics for patients with bleeding disorders are becoming increasingly common, 17 apart from cost-effectiveness there is limited evidence that they are acceptable to patients. 18,19 This is an area that requires further assessment.…”

Head injury in a haemophilia patient – Nursing considerations: a case report

“…By being part of the collaborative multidisciplinary team caring for the patient, the haemophilia nurse coordinator plays a pivotal role in coordinating patient care [3] . In this case, coordinated care was delivered to the patient by the critical care nurses and the haemophilia nurse coordinator working as a team.…”